LSW Exam Flashcards

1
Q

Id

A

def: primitive drives, instinctual needs
properties: need gratifying, primary process thinking, unconscious discharge tension

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2
Q

Ego

A

def: mediator between id and superego & between internal/external reality
properties: defense mechanisms

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3
Q

Superego

A

def: conscience, ego ideal
properties: right and wrong, uses internal/external rewards and punishments to control and regulate id impulse

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4
Q

fixation

A

a failure to resolve a conflict (psychoanalytic theory)

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5
Q

three levels of mental activity

A

unconscious: thoughts, feelings, desires, memories (unaware)
preconscious: thoughts & feels brought to consciousness easily
conscious: mental activities - fully aware

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6
Q

Stages of Psychosexual Development

A

1) Oral (0-18mos) world explored through mouth, dependency needs externally met, libido centered onn oral
2) Anal (18-36mos) elimination/retention, holding on, letting go, impulse regulation beginning, some self-control
3) Phallic/oedipal (36mos-6yrs) affection directed at opp. sex parent, rival w/same sex parent, genital investment
4) Latency (6-11yrs) formal learning occurs, peer friendships, same-sex peer relationships primary, energy invested outside family
5) Genital (11-15yrs puberty & 11-19yrs adolescence) intense love capable of sexualization, egotistic and altruistic, ambivalence toward parents and other adults

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7
Q

Psycho-social Theory

A

Erikson

Personality develops with interaction and mastery of social environment.

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8
Q

Trust vs Mistrust

A
Erikson 
0-12mos
-sufficient supplies enable assurance of care
-soothing to prevent overstimulation
-certainty of mother
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9
Q

Autonomy vs Shame/Doubt

A
Erikson
18-36mos
-verbal and conceptual stim
-language dev
-permission to explore w/protection against danger
-beginning differentiation
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10
Q

Initiative vs Guilt

A
Erikson
3-6yrs
-begin. to be away from home
-play w/peers
-pride in self/achievements
-separate from parents
-superego dev
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11
Q

Industry vs Inferiority

A
Erikson
6-11 yrs
-conformity in educational institution -->some sacrifice of creativity/imagination
-intellectual/social mastery
-cooperation with others
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12
Q

Identity vs Role Confusion

A
Erikson
11-18yrs
-partial sep. from parents
-peer relationships are primary
-sexual identity confirmed
-conformity within group
-dev of vocational goal
-second individuation phase
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13
Q

Intimacy vs Isolation

A
Erikson
Erikson
19-30yrs
-leaving home
-dev of career
-intimate relationships
-commitments to sex, role identity, occupation, social role
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14
Q

Generativity vs Stagnation

A

Erikson
30-65yrs
-achievement of stable new family
-achievement and productivity in vocational area

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15
Q

Ego Identity vs Despair

A
Erikson
65+yrs
-acceptance of mortality
-satisfaction of previous life roles
-opp for further self-dev
-adequacy in dealing  with loss (death/illness)
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16
Q

Separation-Individuation Theory

A

Margaret Mahler

  • dev of consolidated sense of self as result of separation and individuation from love object
  • 0-3yrs
  • leads to object constancy

1) Attachment
- Normal Autism: 0-2/3mos - someone meets all physiological needs, stimulus barrier, alert inactivity
- Normal Symbiosis 2-5/6mos - “I vs Not I”, omnipotent fusion w/mother, mutual cueing w/mother

2) Separation
- Hatching 6-8/9mos - alert when awake, exploration of others, observation/peek-a-boo, discrimination of mother vs others, stranger anxiety
- Practicing 9-18mos - optimal distance, upright mobility, height of narcissism, trying out autonomous skills,

3) Individuation/Rapproachement
- Beg 15-22mos - disengagement vs intense need for attention, resurgence of stranger anxiety, shares discoveries, identifies body as own, attaches to others when mother absent
- Rapp. to Crisis Proper 24-30mos - ambivalent behaviors (clinging/demanding), splitting of self, transitional objects help, can leave mother vs being left
- Res. of Crisis 30-36mos - language dev, play masters anxiety, internalization of parental demands, dev own means to solve dilemmas

4)Object Constancy 36+mos - ok w/mother leaving bc understands she will return, memory retention, play is purposeful and constructive, unified self and other image (good/bad)

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17
Q

Cognitive Developmental Theory

A

Jean Piaget
4 stages completed by 11yrs

1) Sensorimotor: 0-2yrs
- intentional actions, signal-meaning, language beginning
2) Pre-Operational: 2-7yrs
- night terrors/magical thinking, concrete thinking, egocentric, centered on one detail or event
3) Concrete Operations: 7-11yrs
- beg of abstract thought, fairness is issue, cause/effect understood, comprehension of past/present/future, logical implications understood, reversible thinking
4) Formal Operations: 11+yrs
- higher level abstract thinking, planning for future, perspective-taking,

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18
Q

Moral Development Theory

A

Lawrence Kohlberg
Need higher levels of cognitive reasoning to achieve moral reasoning. Levels of moral reasoning:

Stage I: Pre-conventional - based on avoiding punishment/serve own needs, “right” is relative

Stage II: Conventional - need to look good in own/other’s eyes, maintain social system

Stage III: greater moral principles, sense of personal commitment to do what is right, greater good

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19
Q

Stages of Death & Dying

A

Elisabeth Kubler-Ross

Denial
Anger
Bargaining
Depression
Acceptance
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20
Q

Problem-Solving Approach

A

Helen Harris Perlman

4 P’s (person, problem, place, process) looked at during process of change

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21
Q

Psychsocial Approach

A

Florence Hollis

  • People seen in context of interactions/transactions with external world.
  • Need formal medical, psychological, social history
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22
Q

Crisis Intervention

A

Naomi Golan

  • Brief intervention of 6-8 wks
  • Goals:
    1. relieve stress w/social-emotional resources
    2. return to previous level of functioning
    3. help strengthen coping mechanisms and dev adaptive coping strategies
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23
Q

Classical Conditioning/Respondent

A

Ivan Pavlov

  • stimulus-response
  • dog/bell/food
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24
Q

Operant Conditioning

A

BF Skinner
ABCs of behavior & FBA
Used mostly for sexual dysfunction, phobic disorders, compulsive behaviors, DD/autism

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25
Q

Rational Emotive Therapy

A
  • Cog-oriented approach
  • Change client irrational arguments thru argument, persuasion, rational re-evaluation, teaching client to counter self-defeating thinking w/new non-distressing self-statements
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26
Q

Gestalt

A

experiences not isolated but part of perceptual system of interdependent factors - tx is experiential, here/now, used with groups/indiv

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27
Q

Structural Family Therapy

A

Salvador Minuchin
importance of family organization –>functioning/well-being of group
-boundaries (interpersonal, w/outside world, generational), enmeshment
-interventions: family mapping, parent training, strengthening co-parent relationships, building family hierarchy, enactment, joining

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28
Q

Multi-generational approach

A

Murray Bowen
family issues result of unfinished business in family of origin relationships; problems are fusion/inadequate individuation
Goal: increase differentiation of individuals and avoid triangulation/emotional cut-offs
Interventions: genogram, extensive history-taking, education about impact of family system on current family system

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29
Q

Strategic Family Therarpy

A

Jay Haley/Palo Alto Group

  • All problems have multiple origins; presenting problem is symptom/response to current dysfunction in family interaction
  • Therapy focuses on altering feedback style
  • Techniques: relabeling, reframing, directives,
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30
Q

Concurrent therapy

A

tx of two or more people - usually seen by different therapists

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31
Q

Conjoint therapy

A

tx of 2 or more people in sessions together

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32
Q

Object Relations

A

internalized images of self and others based on early parent-child interactions which determine a person’s mode of relationship to other people

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33
Q

Object Relations Theory

A

Melanie Klein & British School

-Stresses object-seeking propensity of infant instead of focusing exclusively on libidinal and aggressive drives

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34
Q

Undifferentiated family ego mass

A

the emotional fusion or enmeshment of a family

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35
Q

Stages of Group Development

A
  1. Forming/Pre-Affiliation: dev of trust
  2. Storming/Power&Control: struggle for indiv autonomy and group identification
  3. Norming/Intimacy: utilizing self-service in group
  4. Performing/Differentiation: acceptance of each other as distinct individuals
  5. Adjourning/separation&termination: independence
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36
Q

Primary prevention

A

to prevent; aimed at reducing the prevalence of a problem by reducing incidence of new cases; creating environments that promote mental health
(Ex: teen pregnancy - boys/girls clubs)

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37
Q

Secondary prevention

A

to treat symptoms; reduce prevalence by reducing duration thru early detection/intervention
(Ex: teen pregnancy - groups for expectant mothers)

38
Q

Tertiary prevention

A

to reduce disability in chronic problems; reduce duration of problem by reducing negative after-effects
(Ex: teen pregnancy - daycare in HS)

39
Q

6 Basic Functions of SW

A
  1. help people to effectively utilize own problem-solving & coping capacities
  2. est linkages between people/resources
  3. facilitate relationships between people/resource systems
  4. contribute to development/modification of social policy
  5. distribute resources
  6. serve as agents of social control
40
Q

Social Casework

A

Restoring, sustaining, enhancing individually satisfactory and socially acceptable functioning

  1. determine nature of problem
  2. restore/sustain/enhance satisfactory and socially-acceptable social functioning
  3. spell out details
41
Q

Interviewing Process Phase 1

A

Initial Contact (intake interview)

42
Q

Interviewing Process Phase 2

A

Phase 1: Initial Interviews directed at exploration, assessment, and planning
A. Engaging client
B. Fact-gathering: assessment of problem
C. Assessment or Diagnosis
D. Determination of Goals/Dev of Tx Contract

43
Q

Suicide Stats

A
  • males complete suicide 4x more than females
  • highest risk - males 75+
  • attempts 3-6x more likely for females
  • men higher risk for guns/hanging
  • woman higher risk for pills/gas
  • caucasians 2x more likely than AA
44
Q

Clinical Factors that increase suicide risk

A
  • presence of clinical depression
  • hx of previous attempts
  • alcohol abuse
  • impairment in rational thinking
  • lack of social supports
  • recent losses
  • decline in physical health
  • hostile interpersonal environ.
  • recent discharge from medical or psychiatric hospital
45
Q

Phase II: Treatment Interventions

A

Interventions:

  1. Direct (sustainment, direct influence, exploration/description/ventilation, person-in-situation reflection, pattern-dynamic reflection, developmental reflection)
  2. Indirect/Environmental interventions (resource development, interpreter/mediator between clt and environ, intervention in environment)
46
Q

Phase II: Treatment Techniques

A

Techniques:

  1. Self-awareness and self-understanding
  2. Ethical decision-making
  3. Talking and listening basic interpersonal skills
  4. Exploring
  5. Assessing
  6. Contracting
47
Q

Phase III: Termination & Evaluation

A

A. Planned
B. Unplanned/forced

Elements: discussion of progress, feelings, dev of plan for maintaining progress, recommendations/referrals

48
Q

Neurodevelopmental Disorders

A
  • Intellectual Disability
  • Communication Disorders
  • ASD
  • ADHD
  • SLD
  • Motor disorders
  • Tic disorders
  • Other Neurodevelopmental disorders
49
Q

Schizophrenia Spectrum & Other Psychotic Disorders

A

-Abnormalities in one or more of 5 domains
-spectrum from Schizotypal personality d/o (odd and eccentric symptoms w/o break in reality) to schizophrenia (hallucinations/delusions)
Ex: Schizotypal Personality, Delusional, Brief Psychotic, Schizophreniform, Schizophrenia, Schizoaffective, Substance/Medication-Induced Psychotic, etc.

50
Q

Positive Symptoms

A

Domain for Schizophrenia Spectrum, etc.

delusions, hallucinations, disorganized thinking (speech), grossly disorganized or abnormal motor behavior

51
Q

Negative Symptoms

A

Domain for Schizophrenia Spectrum, etc.

diminished emotional expression, avolition

52
Q

Bipolar & Related Disorders

A

Disorders including manic, hypermanic, and depressive symptoms
Includes: Bipolar I, Bipolar II, Cyclothymia,

53
Q

Depressive Disorders

A

Disorders with presence of sad, empty, or irritable mood accompanied by somatic and cognitive changes that affect capacity to function.
Includes: Disruptive Mood Dysregulation, Major Depressive, Persistent Depressive (Dysthymia), Pre-menstrual Dysphoric

54
Q

Anxiety Disorders

A

Disorders involving persistent/excessive fear and anxiety.

Includes: Separation Anxiety, Selective Mutism, Specific Phobia, Panic, Agoraphobia, GAD

55
Q

Obsessive-Compulsive & Related Disorders

A

Disorders with presence of obsessions and/or compulsions that are excessive and persistent
Includes: OCD, Body Dysmorphic, Hoarding, Trichotillomania,

56
Q

Trauma & Stressor-Related Disorders

A

Disorders in which exposure to stressful event listed.

Includes: Reactive Attachment, Disinhibited Social Engagement, PTSD, Acute Stress, Adjustment

57
Q

Dissociative Disorder

A

Disorders in which there is a loss of continuity of experience, fragmentation of identity
Includes: Dissociative Identity, Dissociative Amnesia, Depersonalization/Derealization

58
Q

Somatic Symptom & Related Disorders

A

Disorders characterized by thoughts, feelings, and behaviors related to somatic symptoms
Includes: Somatic Symptom, Illness Anxiety (hypochondria), Conversion Disorder, Factitious (Munchaussen)

59
Q

Feeding & Eating Disorders

A

Disorders related to persistent disturbance of eating/eating-related behavior
Includes: Pica, Anorexia Nervosa, Bulimia Nervosa, Binge-Eating Disorder

60
Q

Elimination Disorders

A

Disorders that involve inappropriate elimination of urine/feces - diagnosed in childhood/adolescence
Includes: Enuresis, Encopresis

61
Q

Sleep-Wake Disorders

A

Disorders involving sleep-wake complaints including quality, timing, amount, daytime distress
Includes: Insomnia, Narcolepsy, Nightmare Disorder, Restless Leg Syndrome

62
Q

Sexual Dysfunction

A

Disorders involving clinically significant disturbance in person’s ability to respond sexually or experience sexual pleasure

63
Q

Gender Dysphoria

A

Disorders where there is a marked difference between person’s expressed gender and gender assigned to him/her

64
Q

Disruptive, Impulse-Control, & Conduct Disorders

A

Disorders with a significant lack of emotional and behavioral self-control
Includes: ODD, Intermittent Explosive, Conduct, Antisocial Personality

65
Q

Substance-Related and Addictive Disorders

A

Disorders due to drugs taken in excess

66
Q

Neurocognitive Disorders

A

Disorders with core feature being a deficit in cognitive function that is acquired vs developmental
Includes domains of complex attention, executive functioning, learning/memory, expressive/receptive language, perceptual/motor, social cognition
Includes: Dementia, Major or Mild Neurocognitive D/O

67
Q

Personality Disorders

A

Disorders diagnosed 18+ with behavior deviating from expected, onset in adolescence/adulthood, leads to distress
Includes: Borderline, Narcissistic, Antisocial,

68
Q

Paraphillic Disorders

A

Intense and persistent interest in sexual arousal and gratification

69
Q

Medication-Induced Movement Disorders & Other Adverse Effects of Medication

A

Disorders including: Tardive Dyskinesia, Antidepressant Discontinuation Syndrome, Other Adverse Effects of Medication

70
Q

Values of Social Work

A
  1. service
  2. social justice
  3. dignity and worth of the person
  4. importance of human relationships
  5. integrity
  6. competence
71
Q

Steps in research

A
  1. problem formulation (hypothesis)
  2. study design
  3. methodology
  4. data collection
  5. analysis of results
  6. dissemination of results
72
Q

independent variable

A

explanatory variable - causes the change

73
Q

dependent variable

A

response variable - responds to change

74
Q

intervening variable

A

factors that increase or decrease effect of independent variable

75
Q

quasi-experimental design

A

study with two or more groups and two different interventions (can be control)
uses pre/post test

76
Q

single subject design

A

study with one client or one client system

useful for private practice

77
Q

probability sample

A

sample of random selection - every individual considered for study has equal opportunity to be included in the sample

78
Q

non-probability sample

A

sample of whoever is available/willing to participate

79
Q

correlation coefficient

A

numerical index indicating degree to which two variables are associated with each other
“r”
closer “r” gets to 1 - stronger association, closer to 0= weaker

80
Q

reliability

A

consistency in the measurement of a variable

81
Q

validity

A
  • internal: confidence with which we can say that a relationship exists between variables
  • external: how valid results are for other population; generalizability
82
Q

Ethical issues in research

A
  1. informed consent
  2. voluntary participation
  3. confidentiality
  4. do not harm
83
Q

Needs assessment

A

to verify a problem exists

84
Q

population at risk

A

segment of population that is likely to develop a condition

85
Q

population at need

A

group of potential targets who currently have condition

86
Q

incidence

A

number of new cases of a problem that are identified or arise during a specified time

87
Q

prevalence

A

number of existing cases at a specified time

88
Q

Procedures for identifying targets

A
  1. Key Informant Approach
  2. Community Forum Approach
  3. Rates under treatment
  4. Social Indicators Approach
  5. Surveys & Census
89
Q

Theory X

A

management style oriented to the tasks which need to be accomplished (McGregor’s Theory)

90
Q

Theory Y

A

management style oriented to the growth and skills of the individual (McGregor’s Theory)